Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 12750 | FL |
NPI | 1003095829 |
---|---|
Provider Name | Sonya F Hadley |
First Address | Tallahassee, FL 32317-2578 |
Second Address | Tallahassee, FL 32308-5433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 29/10/2007 |